TB Case Discussion (2019-09-25)

- 71 year old Haitian woman with recent admissions

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  CABG with post-op sternal pseudomonal osteomyelitis
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  Recent diagnosis of autoimmune hepatitis (azathioprine/budesonide)
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  No prior TB symptoms

Readmitted with vomiting

- CT showing bilateral pleural effusions

PMH:     

• 
  Atrial Fibrillation (postop) 
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  Autoimmune Hepatitis: azathioprine and budesonide 
• 
  Coronary Artery Disease s/p CABG x 5 
• 
  Diabetes Mellitus Type II c/b Diabetic Neuropathy
• 
  Hyperlipidemia, Hypertension